Care Coordinator-Enhanced Care Management - Oceanside, United States - Neighborhood Healthcare

Description

Community health is about more than just vaccines and checkups. It's about giving people the resources they need to live their best lives.

At Neighborhood, this is our vision:
a community where everyone is healthy and happy. We're with you every step of the way, with the care you need for each of life's chapters. At Neighborhood, we are Better Together.

As a private, non-profit 501(C) (3) community health organization, we serve over 414,995 medical, dental, and behavioral health visits from more than 87,099 people annually.

We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance.

Since 1969, our employees have been making this mission a reality.

Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond.

If this sounds like an organization you would like to be a part of, we would love to meet you.

The Care Coordinator will coordinate care for complex patients with mental illness, substance use disorders, or chronic conditions to navigate and link with community resources that address social determinants of health (SDOH).

This role will provide care coordination and connection to services and social supports for ECM patients, including appointment scheduling and referral management.

Additionally, this position will require travel to other Neighborhood sites as needed to attend the designated meetings as well as training for staff members.

ResponsibilitiesProvides ongoing monitoring of the Targeted Engagement List (TEL)

Assigns patients to the appropriate ECM team members based on risk category and available clinical data for ECM engagement activitiesWorks with a caseload of patients identified as being low riskConducts periodic telephonic outreach and follow-up to low-risk ECM patients as outlined in the Shared Care PlanSupports other ECM team members with delegated tasksAssists in the coordination of appointments and referrals for physical and behavioral health appointmentsCollaborates on patient care issues with other ECM team members, participating in weekly systematic case reviews and ad hoc case reviews, and consults with ECM team RN and/or the Behavioral Health care team RN before taking any action that is clinical in natureConnects ECM patients to other social services and supports they may needUses relationship-based strategies to engage patients in care as well as motivational interviewingAssists with arrangements such as transportation, directions, and completion of durable medical equipment requestsCoordinates with ECM patient in the most easily accessible setting, within IEHP guidelines, such as patient home, provider/regional office, or other settingsContributes to the success of the organization by participating in quality improvement activitiesDocuments in ECW for all care coordination and other services or teaching provided in a timely manner, as neededPrioritizes activities according to intensity, need, and required follow-upProvides accurate and timely reports to supervisor and site staff, as requiredQualificationsEducation/ExperienceHigh school diploma or equivalent requiredTwo years' healthcare, behavioral health, or social services industry experience requiredBilingual (English/Spanish) preferredCA driver's license and proof of car insurance requiredAdditional Qualifications (Knowledge, Skills and Abilities)Excellent verbal and written communication skills, including superior composition, typing, and proofreading skillsAbility to interact effectively with clinic personnel, patients, and community-based organizationsKnowledgeable about evidenced based communication such as motivational interviewing, or similar empathy-based communication strategies (emotional intelligence)Knowledge about and experience with providing sensitivity to patients with mental health conditions and addictive disordersAbility to resolve problems/conflictsAbility to navigate computer applications, including Microsoft applicationsAbility to sufficiently engage members and providers both on the phone and in personAbility to successfully manage multiple tasks simultaneouslyExcellent planning and organizational abilityAbility to work as part of a team as well as independentlyAbility to work with highly confidential information in a professional and ethical mannerPhysical RequirementsAbility to lift/carry 25 lbs/weightAbility to stand for long periods of timePay range:
$ $26.64 per hour, depending on experience.